Electronic Theses and Dissertation

Dampak stroke pada kehidupan masyarakat merupakan tantangan penting. Selain karena kejadian yang tiba-tiba, stroke juga dapat mempengaruhi baik individu maupun keluarga, yang secara keseluruhan tidak siap menghadapi proses rehabilitasi atau kecacatan yang justru akan menurunkan kualitas hidup pasien. Tujuan penelitian adalah untuk mengetahui hubungan dimensi health locus of control dan aktivitas fisik dengan quality of life pada pasien pasca stroke. Jenis penelitian adalah kuantitatif yaitu desain cross sectional study dengan total sampling pada 120 pasien pasca stroke yang berobat jalan di Poliklinik RSUD dr. H. Yuliddin Away Tapaktuan Kabupaten Aceh Selatan. Alat pengumpulan data berupa kuesioner: Multidimensional Health Locus of Control (MHLCS), International Physical Activity Questionnaire (IPAQ), dan Stroke Specific Quality of Life (SS-QoL). Data dianalisis secara deskriptif, chi square, dan uji multivariat regresi logistik. Hasil penelitian membuktikan yang berhubungan dengan Quality of Life pada pasien stroke yaitu internal health locus of control (p = 0,003), powerful other health locus of control (p = 0,000), dan chance health locus of control (p = 0,004), sedangkan yang tidak berhubungan yaitu aktivitas fisik (p = 0,878). Hasil multivariat menunjukkan prediktor yang paling berhubungan dengan Quality of Life pada pasien stroke yaitu powerful other health locus of control (p = 0,000; OR: 4,111) dan diikuti oleh chance health locus of control (p = 0,004; OR = 2,634). Powerful other health locus of control adalah faktor yang dapat meningkatkan quality of life pada pasien stroke, peran dari keluarga, teman dan perawat dapat membantu pasien dalam meningkatkan kualitas hidup. Oleh karna itu direkomendasikan kepada dokter dan perawat agar lebih menghadirkan diri dan berempati untuk meningkatkan kualitas hidup pasien.

The impact of stroke on community life is a significant challenge. In addition to its sudden occurrence, stroke can affect both individuals and families, who are generally unprepared for the rehabilitation process or disability, leading to a decrease in the patient's quality of life. This study aims to determine the relationship between health locus of control dimensions and physical activity with the quality of life in post-stroke patients. This quantitative research employed a cross-sectional design with a total sampling of 120 post-stroke patients receiving outpatient treatment at the outpatient wards of Dr. H. Yuliddin Away Hospital, Tapaktuan, South Aceh Regency. Data were collected using questionnaires: the Multidimensional Health Locus of Control (MHLCS), the International Physical Activity Questionnaire (IPAQ), and the Stroke Specific Quality of Life (SS-QoL). The data were analyzed descriptively, using chi-square tests and multivariate logistic regression analysis. The results showed that factors related to the Quality of Life in stroke patients were internal health locus of control (p = 0.003), powerful others health locus of control (p = 0.000), and chance health locus of control (p = 0.004). In contrast, physical activity was not related (p = 0.878). Multivariate results indicated that the most significant predictor of Quality of Life in stroke patients was the powerful others health locus of control (p = 0.000; OR: 4.111), followed by chance health locus of control (p = 0.004; OR = 2.634). The powerful other health locus of control can enhance stroke patients' quality of life, with support from family, friends, and nurses crucial in improving patients' quality of life. Therefore, it is recommended for doctors and nurses to be more present and empathetic to enhance patients' quality of life, highlighting the crucial role they play in this process.